Which treatment is appropriate for managing neurogenic shock?

In the context of managing neurogenic shock, the appropriate treatment involves the use of intravenous fluids and vasopressors. Neurogenic shock occurs due to a disruption of the autonomic pathways in the spinal cord, typically following a spinal cord injury, resulting in decreased vascular tone and systemic vascular resistance. This leads to hypotension and reduced perfusion to vital organs.

Administering intravenous fluids helps to increase blood volume, supporting circulation and assisting in alleviating hypotension. However, fluids alone may not be sufficient, especially when vasodilation persists due to the loss of sympathetic tone. This is where vasopressors come into play. They serve to constrict blood vessels and raise blood pressure, thereby improving perfusion to critical organs.

This combined approach—IV fluids to support volume and vasopressors to counteract vasodilation—addresses both the symptoms and underlying pathophysiology of neurogenic shock effectively.